Healthcare Provider Details

I. General information

NPI: 1629413018
Provider Name (Legal Business Name): MARGARET JANE BLAYNEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 RAMBLEWOOD DR STE 100
EAST LANSING MI
48823-7396
US

IV. Provider business mailing address

3621 S STATE ST
ANN ARBOR MI
48108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 517-332-1200
  • Fax: 517-351-7122
Mailing address:
  • Phone: 734-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number4301500792
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: